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Dr. Scott Michael Bietsch, DMD
Pediatric Dentist in Carbondale, Illinois
NPI 1902119837

Scott Michael Bietsch is a Pediatric Dentist based in Carterville, IL and is specialized in Pediatric Dentistry. Scott Michael Bietsch practices in Carbondale, IL and has the professional credentials of DMD. The NPI Number for Scott Michael Bietsch is 1902119837 and holds a License No. 019.028399 (Illinois).

The current practice location address for Scott Michael Bietsch is 402 S Lewis Ln, Carbondale, IL and can be reached out via phone at 618-519-9200. You can also correspond with Scott Michael Bietsch through the mailing address at PO BOX 577, CARTERVILLE, IL - 62818-0577 (mailing address contact number: 618-985-8221).

Location: 402 S Lewis Ln, Carbondale, IL, 62818-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902119837
Provider Name
Scott Michael Bietsch
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
402 S Lewis Ln, Carbondale, IL, 62818-0577
Phone Number
618-519-9200
Fax Number
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402 S Lewis Ln
City
Carbondale
State
Illinois
Zip
62901-3547
Phone Number
618-519-9200
Fax Number
person
Provider Business Mailing Address Details
Address
402 S Lewis Ln
City
Carbondale
State
Illinois
Zip
62901-3547
Phone Number
618-519-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
021002781 (Illinois)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019.028399 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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